Integrating mental health services into primary care: Lessons learnt.

Kates, Nick; Crustolo, Anne-Marie; Farrar, Sheryl; Nikolaou, Lambrina

doi:10.1037/h0089457

Cited by 19 publications

(10 citation statements)

References 17 publications

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“…Mental healthcare providers have been located within primary care settings to improve collaboration between primary and mental healthcare providers. Utilization of services is described as high, while referrals to local outpatient mental health clinics decreased by more than 60% and inpatient psychiatric admissions decreased by 10% (Kates et al. 2001).…”

Section: Integrated Primary Mental Healthcare Systems In Developed Comentioning

confidence: 99%

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Mental health policy and integrated care: global perspectives

Zolnierek

2008

Psychiatric Ment Health Nurs

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Although omitted from the World Health Organization's eight Millennium Development Goals, mental illness ranks fourth of the 10 leading causes of disability in the world and is expected to approach second place by 2020. Scarce resources challenge responses to mental health needs. Effective approaches must consider existing healthcare delivery networks, nurses as care providers, as well as social, cultural, political and historical contexts. This paper reviews policy development and care approaches to address mental health needs around the world. Challenges, successes and further needs are discussed. Selected articles were reviewed to represent varied approaches to address mental health needs in countries with diverse resources and infrastructures. Integrated systems offer one model for addressing mental health needs along with physical health needs within a population. While potentially an efficient strategy, caution is advised to ensure services are integrated and not merely added on top of an already overburdened system. As the largest group of healthcare professionals worldwide, nurses play a key role in the delivery of mental health services. Nurses have an opportunity, if not a responsibility, to collaborate across borders sharing education and innovative approaches to care delivery.

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Section: Integrated Primary Mental Healthcare Systems In Developed Comentioning

confidence: 99%

“…2001). Measurement tools have demonstrated significant clinical improvement in patients utilizing services within primary care (Kates et al. 2001).…”

Section: Integrated Primary Mental Healthcare Systems In Developed Comentioning

confidence: 99%

Mental health policy and integrated care: global perspectives

Zolnierek

2008

Psychiatric Ment Health Nurs

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“…Collaborative care models that involve the co-location of mental health professionals within family practice have shown that these experiences do contribute to case sharing and collective decision-making over time. They also contribute to professional satisfaction [ 29 , 30 ]. This outcome appears to be particularly important in the area of mental health where family physicians and mental health specialists have expressed dissatisfaction with the one another's contributions to the identification, management, and treatment of mental health cases [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Improving the Management of Late-Life Depression in Primary Care: Barriers and Facilitators

Sussman

Yaffe⃰

McCusker

et al. 2011

Depression Research and Treatment

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The objectives of this study were to elicit Canadian health professionals' views on the barriers to identifying and treating late-life depression in primary care settings and on the solutions felt to be most important and feasible to implement. A consensus development process was used to generate, rank, and discuss solutions. Twenty-three health professionals participated in the consensus process. Results were analysed using quantitative and qualitative methods. Participants generated 12 solutions. One solution, developing mechanisms to increase family physicians' awareness of resources, was highly ranked for importance and feasibility by most participants. Another solution, providing family physicians with direct mental health support, was highly ranked as important but not as feasible by most participants. Deliberations emphasized the importance of case specific, as needed support based on the principles of shared care. The results suggest that practitioners highly value collaborative care but question the feasibility of implementing these principles in current Canadian primary care contexts.

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“…The American Association of Family Physicians, acknowledging the Institute of Medicine's finding that ''mental health care is indivisible from primary medical care,'' clearly recognizes the importance of blending mental health care into the daily practice of primary care physicians. 2 Despite barriers such as decreasing funds and unavailability of mental health providers in rural areas, successful integration of mental health services into primary care clinics is well documented, 3,4 and several successful models for collaboration between mental health providers and primary care physicians have been established. [5][6][7] The shortage of psychiatrists and other mental health providers in Montana is significant, with only 76 practicing psychiatrists listed across the state.…”

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confidence: 99%

The Montana Model: Integrated Primary Care and Behavioral Health in a Family Practice Residency Program

et al. 2005

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To address the local health care needs of both patients and primary care providers in Montana, an integrated primary care and behavioral health family practice clinic was developed. In this paper we describe our experience with integrating mental health and substance abuse services into a primary care setting (a community health center) while simultaneously teaching family practice physicians to take the lead in providing these services. The Deering Community Health Center in Billings, Montana, is a Federally Qualified Health Center serving a largely low-income patient population. The medical care at the clinic is provided primarily by the faculty and residents of the Montana Family Medicine Residency. The teaching model was founded on the belief that improved care will result when physicians have increased comfort with, and are able to enjoy the challenges of, patients with mental illnesses. The enhanced longitudinal curriculum incorporates mental health across the 3 years of the family practice residency. Unique characteristics of this model include staffing and the concurrent delivery of a high volume mental health service while teaching family practice resident physicians and the faculty to integrate this competency into their primary care practices.

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Integrating mental health services into primary care: Lessons learnt.

Cited by 19 publications

References 17 publications

Mental health policy and integrated care: global perspectives

Mental health policy and integrated care: global perspectives

Improving the Management of Late-Life Depression in Primary Care: Barriers and Facilitators

The Montana Model: Integrated Primary Care and Behavioral Health in a Family Practice Residency Program

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